Individual
ALAN THOMAS VILLAVICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2030 MOUNTAIN VIEW AVE STE 210, LONGMONT, CO 80501-3180
(303) 485-3560
(303) 485-3561
Mailing address
PO BOX 9049, BOULDER, CO 80301-9049
(303) 938-5700
(303) 998-0007
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
DR.0040687
CO
Other
Enumeration date
05/24/2006
Last updated
02/04/2026
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